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Individual

JACOB MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3217 SUMMIT SQUARE PL, LEXINGTON, KY 40509-2641
(859) 263-8080
(859) 263-8775
Mailing address
3217 SUMMIT SQUARE PL, LEXINGTON, KY 40509-2641
(859) 263-8080
(859) 263-8775

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006747
KY

Other

Enumeration date
11/06/2015
Last updated
11/06/2015
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